AMS Physiotherapy - Physiotherapy


Therapeutic mobilisation treatments involve the gentle, passive movement of joints and muscles.  For a joint to move correctly without producing pain it is required to have 'accessory' movements.  We are unable to recreate these accessory movements as individuals on ourselves.  Therapeutic mobilisation of a joint can restore the ability of the joint to move without the creation of pain.

Typical mobilisations involve gliding movements, shearing and rotational movements.


A therapeutic manipulation involves a low amplitude (small amount) end of range (at full stretch) thrust. It is commonly used to treat low back and mid back pain where the pain is being produced by a part of the body not moving correctly. The nudge that the manipulation gives helps the part of the body that is stiff move more freely without creating pain.

Manipulations are not used solely on backs they can be used on other tissues that are producing pain.

The term manipulation is also known as 'putting the back in' as if it were originally out but evidence does not suggest that any realignment takes place.

An audible click can sometimes be heard with a manipulation.

Following a manipulation pain free movement can be experienced.  It is however generally short lived unless further corrections and management of the area of the body take place.

Research suggests that spinal manipulation is ineffective

Recent Evidence

For Neck Pain And Whiplash,

Four systematic reviews have found that manipulation or mobilisation versus other treatments improve symptoms. One additional and one subsequent Radomised Controlled Trial (RCT) found no significant difference between mobilisation versus manipulation in pain. Rare but serious adverse effects have been reported following manipulation of the cervical spine

For Low Back Pain And Sciatica,

Systematic reviews and additional RCTs have found that exercise versus other treatments improves pain and functional status.

Active physiotherapy versus passive treatment all significantly reduce pain.

Systematic reviews found conflicting evidence on the effects of spinal manipulation.

Find out more about who we are or what the AMS Physiotherapy and Sports Injury Clinic's principles are using the links, but remember it is not what we say but what our clients say about us that counts for so much more.

If you are still undecided then lets us give you 10 good reasons to choose AMS Physiotherapy and try to persuade you as to why you should pick up the phone to arrange your first convenient physiotherapy appointment.

We have clinics located throughout Devon and Somerset for your convenience so don't delay, call us now on 0800 612 0459 and start your unique road to recovery, if you would prefer we can call you or you can simply ask us a question first.

AMS Physiotherapy.

Treating you to a better future.